The URL can be used to link to this page

Home My WebLink About10-10204 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10204 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 10204 Address: 39602 AMETHYST WAY LOT 5 Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: EMERALD POINTE RV RESORT Est. Value: Parcel Number: 24- 26 -21- 0020 - 00000 -0050 Improv. Cost: r -17 , , . v = W { E : ;t6: : :4= Date Issued: Name: EMERALD POINT RV Total Fees: 50.00 Address: 39602 AMETHYST WAY LOT 5 Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/05/2010 Phone: (920)840 -7890 Work Desc: FPM -FIRE ALARM ANNUAL/SPRINKLER ANNUAL - EMERALD POINTE CLUBHOUSE A • AL Se IsN,I I - - 1 FEES 50.00 1 2 0 47,;,C,44741944 $h00114 sue• ¢ # 14' e=+ ¢ alt a ;; , ' \ � ,.. .. g @•, . d , _ FI - E AC EPTANCE Final Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fire prevention and protection related activities such as inspections, plan review, administrative fees, and other costs related to the aforementioned. Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final inspection shall be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." P �. IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041 813-780 -0020 City of Zephyrhills Fire (1020 Fax - 813- 780 -0021 Permit Application Date Received I Phone Contact for Permit 1 721 1 1 qy 2 1 I "I g 3 p Owner's Name IFj V_, �� Owner's Phone Number I )) el 11 IMO 11 SIO 1 Owner's Address 1 3 7 ‘02 g et ei 4. Y Zf phr h, //s / Pl. I? .91 o I Fee Simple Titleholder Name 1 I I I 11 1 Titleholder Phone Number Fee Simple Titleholder Address I �.. ., , ,. =c _ ._.,.;;. ^' ' � _�� ;; •gin s.:ee .._; �:. :.e Job Address 1 3 /V O€ 4" € ay WA Zt° ) / 1 Sub Divisin 1 J P Lot # Parcel # 1 Bio- Hazard Waste Storage - ANNUAL I Hazardous Material (Tier II or RQ Facility) ANNUAL n Comm Exhaust Kitchen Hood /Duct Ii Hood Installation n Controlled Bum LP /Natural Gas - Installation El Emergency Generator < 30 kw r LP /Natural Gas - ANNUAL Sale 7 Emergency Generator> 30 kw n Places of Assembly-ANNUAL I L I< Fire Protection Maintenance - ANNUAL Ii Recreational Burn � 'Semi1 NU Other � Sprinkler ❑ ❑ ❑ Ej Sparklers Fire Alarm 2 ❑ ❑ X I 1 1-1 Sprinkler System Installations Hood Cleaning 0 ❑ ❑ ❑ I .1 � Standpipes (Sprinkler Sys) Hood Suppression 1 ❑ ❑ ❑ 1 I Cl Torch Roofing/Tar Kettle I I Fire Alarm Installation 71 Waste Tire Storage ANNUAL a Fire Pumps 7 Fire Works [ ] Flammable Application- ANNUAL Ej Valuation of Project Fuel Tanks n Other: 1 +_. ->;:: _ u .._.. __ ..::..: .- i:u% . . =.5- :osi�. _ Contractor I Company A �' Q Signature ;'G so alt 1�01� - Inc- Registered Y/ N J Fee Current I Y/ N Address 3 531 141 ¢4 ,41111 e cal d I License# I ELECTRICIAN I >= F OODO �I�I 1 I I Company Signature Registered Y/ N 1 Fee Current I Y/ N I Address I License # I PLUMBER I Company I Signature Registered Y / N I Fee Current I Y1 N 1 Address I License # I 1 MECHANICAL' I Company Signature Registered Y/ N j Fee Current I Y / N I Address I, I License # I I OTHER I I Company I Signature Registered Y / N j Fee Current 1 Y/ N I Address License # I I Directions: Fill out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) If over $2500, a Notice of Commencement is required (Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com) 313- 780 -0020 City of Zephyrhills Fire / ///// va � " Fax -813- 780 -0021 Permit Application I Date Received 1 Phone Contact for Permit 11 XI' 119 y R 1 1 0 3 1 Owner's Name £MG1fa Id 1 1/ k I9 A d Q� � - f t/ �Q� ! 1 Owner's Phone Number I I gs/O I 7rji7 Owner's Address 3 9 60 4 W � 7.epti /1 3 3 � Yd v Fee Sirnple Titleholder Name I I I I I Titleholder Phone Number Fee Simple Titleholder Address I Job Address 1 160 4/ / �/ I V �A I I Lot # I Sub Division f Parcel # I I Bio Hazard Waste Storage - ANNUAL n Hazardous Material (Tier 0 or RQ Facility) ANNUAL F Comm Exhaust Kitchen Hood /Duct Hood Installation n Controlled Burn = LP /Natural Gas - Installation n Emergency Generator < 30 kw I I LP /Natural Gas - ANNUAL Sale I I Emergency Generator > 30 kw L I Places of Assembly ANNUAL I X I Fire Protection Maintenance ANNUAL n Recreational Burn 1Qtrly1 1Sem(I T (Other Sprinkler Ix I ❑ ❑ I 1 I Sparklers Fire Alarm n ❑ ❑ ❑ 1 1 I I Sprinkler System Installations Hood Cleaning n ❑ ❑ ❑ I I I 1 Standpipes (Sprinkler Sys) Hood Suppression ❑ ❑ ❑ 0 I I 1 1 Torch Roofing /Tar Kettle n Fire Alarm Installation I I Waste Tire Storage ANNUAL I I Fire Pumps I I Fire Works n Flammable Application- ANNUAL 1 I Valuation of Project I- I I Fuel Tanks n Other I I Contractor Signature 1 --- I Company 1 A T - I 1 So lu i n Registered 1 Y/ N Fee Current I Y / N I Address 3531 lice .54-onG 1 License# 9 2353V000I2002, I ELECTRICIAN I Company Signature Registered Y/ N I Fee Current I Y / N I Address I License # PLUMBER I I Company Signature I Registered Y/ N i Fee Current 1 Y! N I Address I 1 License # I MECHANICAL( I Company I Signature Registered Y/ N 1 Fee Current I Y / N I Address I 1 License # I OTHER 1 I Company I Signature Registered Y/ N I Fee Current I Y/ N 1 Address I License # Directions: Fill out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) If over $2500, a Notice of Commencement is required (Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com)